• Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare… more
    Sharecare (09/13/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (FL)
    …healthcare services team supporting one or more of the following functions: care management , utilization management , care transitions, long-term services and ... at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
    Molina Healthcare (09/26/25)
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  • Transitions of Care - RN, 100% Virtual, CareBridge

    Elevance Health (FL)
    …patients with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + ... responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple… more
    Elevance Health (10/01/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more
    CenterWell (09/11/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care ... adapt responsibilities as needed and demands a unique blend of clinical management , financial/business acumen, and strategic partnership to optimize patient care and… more
    CenterWell (07/22/25)
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  • Director of Physician Services II

    HCA Healthcare (Kissimmee, FL)
    …of Physician Services II with HCA Florida Osceola Hospital, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Florida Osceola ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
    HCA Healthcare (09/10/25)
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  • Clinical UM Nurse 2

    CenterWell (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
    CenterWell (09/26/25)
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  • Physician Lead

    CenterWell (Daytona Beach, FL)
    …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... Collaborative / Supervisory Agreements per state protocols + Assisting with panel management + Providing direct education to clinicians around clinical protocols /… more
    CenterWell (07/10/25)
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  • Associate Center Clinical Director

    ChenMed (Margate, FL)
    …to patient panel as a PCP. + Directs accountability for clinical outcomes and day-to-day management of PCPs in one (1) center in the market, with regular presence in ... the center under direct management , and under the supervision of the MCMO. +...referrals and provides back-up for market referral and delegated utilization authorizations. + Leads physician meetings, training and education… more
    ChenMed (09/09/25)
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  • Registered Nurse RN Case Mgr PRN

    HCA Healthcare (West Palm Beach, FL)
    …+ Or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
    HCA Healthcare (09/12/25)
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